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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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Published on: November 9, 2016

Errors in fluid therapy in medical wards.

Maryam Mousavi1, Hossein Khalili, Simin Dashti-Khavidaki

  • 1Tehran University of Medical Sciences, Tehran, Iran.

International Journal of Clinical Pharmacy
|March 7, 2012
PubMed
Summary
This summary is machine-generated.

Intravenous fluid therapy errors are common in hospitalized patients, with issues in rate, volume, and fluid type selection. Improving healthcare worker knowledge is crucial for preventing these medication errors.

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Area of Science:

  • Medical Science
  • Clinical Pharmacy
  • Patient Safety

Background:

  • Intravenous fluid therapy is a critical component of patient care during hospitalization.
  • Limited research exists on fluid therapy practices and consensus statements for medical ward patients.
  • This study addresses the gap by examining fluid therapy in infectious diseases wards.

Purpose of the Study:

  • To evaluate the status of intravenous fluid therapy.
  • To identify and analyze related errors in hospitalized patients.
  • To assess fluid therapy practices within infectious diseases wards of a referral hospital.

Main Methods:

  • Retrospective data collection on intravenous fluid therapy from 2008-2010.
  • Analysis of fluid indication, type, volume, and administration rate.
  • Comparison of patient data against an internally developed protocol based on literature.

Main Results:

  • A total of 596 medication errors were detected.
  • The average rate of fluid therapy errors was 1.3 per patient.
  • Common errors included incorrect administration rate (29.8%), volume calculation (26.5%), and fluid type selection (24.6%).
  • Predisposing factors included male sex, advanced age, renal disease, diabetes, endocarditis, HIV, and sepsis.

Conclusions:

  • Intravenous fluid therapy errors are prevalent in hospitalized patients, particularly in medical wards.
  • Enhancing healthcare professionals' knowledge and vigilance is essential for error prevention.
  • Addressing these errors can improve patient safety and medication management.